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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS Omn-Buildr D.d@do.
<br />I hd.by afrm udcr pcrdly of Frjury th.t I D cxopr fm lhc Cor.dod' Licm. Las for lt. followinB rcs6 {s.c 703 I 5 Bqi.E
<br />bd Prcl6im Cod.): Any Ciy d Cout, which equtB a pmit to cffirud, ah6, imprcv., ddolish o! r+rjr my rttu.te, prio, to il3
<br />i$ueE, also GqunB ln. appli@r lo. luch Fmi b filc a !i!n.d nalmdr th hcdshciilicmcd rBuot b ln. proairi@! ol$.
<br />Cotn tdt Licds.d I-3q (Chrp6 9, CommcirS wilh Sdi@ ?0OO of Dvirion 3 of ln. Bulin* md P@f*ios Codc) o Lhal h. t
<br />thc k cxnpl th@fM &d 6c bsn fG lh. .ll.S.d dmptjon .Ary viol&d oa S.dro. 703 I 5 by e, applicdi for a pcmir Nbj.cB th.
<br />.gplicet to a civil p6dty of nol morc dM liv. hudrcd doud {SsoO)
<br />_I, B osn of th. F@cny, d ny dployd wiih wrAd s $.t !ol. cmpasnion, *ill do $c work ed lhc .nuctuc is not inhd.d
<br />or otrd.d fd 3alc ( se 7044, BBinq!3 sd &of*sid Cod. Th. Corilero r Lica$ Llw dB nor apply to o oMd of rtu prop.ny
<br />vho build, d ihprovd thtu, ud wbo do6 such qo* hiB.lf or h6df d $rcu8h hir or hd Nn 6ploy.q provid.d |har iuch
<br />inprovddl! -. nor inl@dcd o. offa.d for 3.1. Il h@.vd, dE building d imFovoat i! sold *itnin o.. ycu of compl.tid, rbr
<br />OMa-Builda will hav. th. budm of proving rh.r hc 6 sh. not build d imprcv. ar i6. pue6. of tal.)
<br />_1, a omd of dr propdrr, d d.luiv.ly cmrradinE with licds.d @.EebR b 6srud d. projar ( Scc ?oaa, Buinds ed
<br />Plof*ion Cod. Tn. Cmtretd's Li6s. Low dod nd apply ro M omd of p@pdry who builds 6 inptovcs thfton , ud wno
<br />\\'ORT(ERS CONTPT:NSATION DE'I-AR{TION
<br />I h.r.by oiim u.&r p.n.lty olFrjury @. ofrhc followirs d(l@tiw
<br />| -t
<br />tra,c u6 *11 6,,11,
<br />"
<br />C.nific.r. of C.mar b S.la-lBr fd wdL6' .6pa!arion, s pDvid.d for by Sccrion 3?oo of rhc
<br />Lato cod., for rh. Frfms.. of ii. *q* fd *hich rh. p.frtr k istu.d.
<br />_l havc ud eill haint in wdr6' codp.rualio i.suMcc, a ..quircd by S4doi 3?00 of rh. Llbor co&, lor tnc Frfmdc. of rh.qo for which fit p.mr n i$u.d My wdl6 compa.arid insutuc. cMid &d lolicy numbd e.
<br />Policy N6br: Expi6l
<br />(IXis setim i..d iot bc cmplclcd if $c pmn t ftr O.. hu.dr.d dolla (l l00l o. lB,
<br />is i$o.4 I ihall nc. dploy ey pc6o in ey mend !o s ro
<br />unla*ful. ddshall subjcct d flployd to siminal pn.lid dd civil
<br />fin6 up ro onc hu&d thMd d.lls ( I l00,000),i n .tldirjo.
<br />thc LabG cod., i.r.r.!r dd .trofrcy'r L6
<br />rh.con ofcomp.niaiion, dmaa6 d providcd for rh. Scction 1076 of
<br />UCEXSED-CONIIACI9IS-D.ECIAaAIfi
<br />I h.rcb, adim udd pcnalt, of pcrlury lhal I h licd.d udd troriiio. of Chapr.r 9 (conndcing *nh Sccrion 7000) of Divtion 3 of
<br />d. BBin.$ Md Proi6siw Corlc, ed hy lictu. is in full fom. md cfIet
<br />s8ac, for thc pcrfmecc of !h. *ek ior whi.h lhis ponit n
<br />bsucd (S.c 1097, CiY. C )
<br />AITIICANI]iDECI.A!4IION
<br />Danoliion Pmir-Asbsros Nodfi.ltin Fcd.ftl R.rul io.t (Tid. 40, P.n 6)
<br />R.qu ncd L.n.r of No fi@ion
<br />_l c.fiif) thd rI. f.ddal rSal.tidr rc8edin! sb.nd mold dc noi applicabl. lo rhh ptojsl
<br />_ I cniry tnar I havc rcld :cltion ud iu. ihar rh. r],ov. infmnon ji 6r.d Ls.c
<br />sis
<br />p*rri*"y{r)
<br />allCit,
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding UFER ,/) -b1
<br />Transformers
<br />Torquing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL L I
<br />Notes, Remarks, Etc
<br />C t ,,'e-S
<br />,Z)ZD
<br />APPROVALS
<br />a cot&ro(, li@cd pl!:@r !o dE conEacror3 Licn!. kw )
<br />ud hd.by autnonz. rcpredktlva
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